Frederiksen Henrik, McGue Matt, Jeune Bernard, Gaist David, Nybo Hanne, Skytthe Axel E, Vaupel James W, Christensen Kaare
Institut for Sundhedstjenesteforskning, epidemiologi, Syddansk Universitet, 5000 Odense C.
Ugeskr Laeger. 2002 Oct 21;164(43):5027-32.
Long-lived individuals are rare and may be selected in part for the genetic factors that promote successful ageing. The children of long-lived parents may therefore age more successfully than the children of short-lived parents.
We used three major cross-sectional, population-based surveys to study the association of parental longevity with successful ageing in offspring. The measures of ageing were hand-grip strength, cognitive performance (mini mental state examination (MMSE) and a cognitive composite score), self-reported diseases, and self-rated health.
For every additional ten years the parents lived, grip strength increased by 0.32 kg (95% CI = 0.00-0.63), the MMSE score by 0.20 points (95% CI = 0.03-0.37), and cognitive composite score by 0.24 points (95% CI = 0.07-0.40). A ten-year increment of parental life was associated with a reduction by approximately 0.20 in the adjusted OR for having each of the following conditions: diabetes, hypertension, ischaemic heart disease, heart failure, stroke, or fair, poor or very poor self-rated health. Almost all the effects were seen solely in the cohort of 70+ year-olds, but not in the middle-aged or nonagenarians.
Parental life span is positively associated with physical and cognitive functioning and avoidance of some of the common chronic diseases. However, overall the effects are small and are seen in the elderly, but not in the middle-aged or the very old.
长寿个体较为罕见,其部分原因可能是被促进成功衰老的遗传因素所选择。因此,长寿父母的子女可能比短寿父母的子女衰老得更成功。
我们使用了三项基于人群的大型横断面调查,以研究父母长寿与子女成功衰老之间的关联。衰老的测量指标包括握力、认知表现(简易精神状态检查表(MMSE)和认知综合评分)、自我报告的疾病以及自我评定的健康状况。
父母每多活十年,握力增加0.32千克(95%置信区间=0.00-0.63),MMSE评分增加0.20分(95%置信区间=0.03-0.37),认知综合评分增加0.24分(95%置信区间=0.07-0.40)。父母寿命每增加十年,患以下每种疾病的校正比值比(OR)约降低0.20:糖尿病、高血压、缺血性心脏病、心力衰竭、中风,或自我评定健康状况为一般、较差或非常差。几乎所有这些影响仅在70岁及以上的人群中可见,而在中年或九十多岁的人群中未观察到。
父母的寿命与身体和认知功能以及避免一些常见慢性病呈正相关。然而,总体而言,这些影响较小,且仅在老年人中可见,在中年或高龄人群中未观察到。